U.S. USDA Form usda-ccc-580-addendum-1 This form is available electronically. USDA-CCC 1. STATE CODE CCC-580 Addendum 1 2. COUNTY CODE 3. CONTRACT NUMBER (12-06-02) 4. DAIRY OPERATION'S NAME AND ADDRESS (Including Zip Code) ADDENDUM FOR MODIFICATIONS TO THE CCC-580 APPENDIX, MILK INCOME LOSS CONTRACT (MILC) TELEPHONE NUMBER (Area Code): See Page 2 for Privacy Act Statement. NOTE: 5. The authority for collecting the following information is Pub. L. 107-171. This authority allows for the collection of information without prior OMB approval mandated by the Paperwork Reduction Act of 1995. This contract modification is entered into by the Commodity Credit Corporation (CCC) and the undersigned participant(s) of the Milk Income Loss Contract (MILC) in Item 3 above. Modifications to the MILC CCC-580 Appendix are being made in accordance with the following paragraphs contained in the CCC-580 Appendix: (1) Paragraph 17, which states: "The regulations in 7 CFR Part 1430 for the Milk Income Loss Contract Program are incorporated herein. In the event of a conflict between these regulations and the terms of this Appendix, the provisions of the regulations will prevail," and (2) Paragraph 19A (11), which states that the participant agrees: "To comply with all terms and conditions contained in this Appendix and the prescribed regulations at 7 CFR Part 1430." By signing this Addendum, the participant(s) confirms that they have been notified of modifications to the following Paragraphs of the CCC-580 Appendix in accordance with the regulations at 7 CFR Part 1430, as referenced below: 1S United States means the 50 States of the United States of America, the District of Columbia, and the Commonwealth of Puerto Rico, and any other territory or possession of the United States. (7 CFR 1430.202). 1X Participating State means each of the 50 States in the United States of America, including the District of Columbia, and the Commonwealth of Puerto Rico, or any other territory or possession of the United States. (7 CFR 1430.202). 2A By signing the MILC, the participant certifies that such participant produced milk commercially in the United States and marketed such production anytime during the period of December 1, 2001, through September 30, 2005. The participant agrees to provide monthly milk production and evidence of such production commercially marketed by all persons in the dairy operation during the Contract Application period indicated in Item 5 of the MILC, to determine the total pounds of milk that will be converted to hundredweight (cwt), and subsequently used for payment. Such production evidence must be provided before CCC will issue a payment to the dairy operation. (7 CFR 1430.203). 4A With the exception of the transition period, beginning with the 2003 fiscal year, a dairy operation that enters into a MILC with CCC, and does not want its payments to begin with the first month of the fiscal year, must designate in the contract the month that CCC shall begin making payments to the dairy operation. The starting month selected by the dairy operation must be made on or before the 15th of the month before the month for which payment is sought. (7 CFR 1430.205(a)). 4C Dairy operations cannot change the selected starting month unless the change is made with CCC on or before the 15th of the month before the month selected. Otherwise, the starting month selected by the dairy operation cannot be changed in the MILC until the next fiscal year. If the starting month selected by the dairy operation is never modified from the initial selection, the selected month will remain the same for each fiscal year throughout the duration of the contract. (7 CFR 1430.205(b)). 4E Dairy operations that do not designate the month to begin receiving payments from CCC, will be issued payments consecutively starting with the first month of the fiscal year, unless FSA is otherwise notified that the selection by the dairy operation will be made at a later date, and is noted as such on the MILC. Such payments will be issued on a consecutive monthly basis until the earlier of the following: (1) Maximum payment quantity is reached; (2) End of the applicable fiscal year. (7 CFR 1430.205(d)). 5C During the 2002 fiscal year only, the dairy operation may elect to forgo their transition payment and choose to begin receiving payments in September, 2002, in accordance with Section 4(B). Otherwise, transition payments will be made for the months preceding the month the dairy operation enters into a MILC with CCC according to this Section. (7 CFR 1430.206(c)). 6A. PARTICIPANT'S INITIALS 6B. DATE (MM-DD-YYYY) 6C. PARTICIPANT'S INITIALS 6D. DATE (MM-DD-YYYY) 6E. PARTICIPANT'S INITIALS 6F. DATE (MM-DD-YYYY) 6G. PARTICIPANT'S INITIALS 6H. DATE (MM-DD-YYYY) The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410 or call (202) 720-5964 (voice or TDD). USDA is an equal opportunity provider and employer. Original - County Office Copy Dairy Operation's Copy CCC-580 Addendum 1 (12-06-02) Page 2 By signing this MILC Addendum, the participant(s) further agrees: a. To comply with all other terms and conditions of the cited contract as contained in the corresponding MILC (CCC-580), MILC Appendix (CCC-580 Appendix), and any addendum thereto. b. That this contract modification became effective and irrevocable upon the date of filing of the regulations at 7 CFR Part 1430 at the Office of the Federal Register. It is so agreed and understood. 7A. PARTICIPANT'S SIGNATURE 7B. DATE (MM-DD-YYYY) 7C. PARTICIPANT'S SIGNATURE 7D. DATE (MM-DD-YYYY) 7E. PARTICIPANT'S SIGNATURE 7F. DATE (MM-DD-YYYY) 7G. PARTICIPANT'S SIGNATURE 7H. DATE (MM-DD-YYYY) 8A. COUNTY OFFICE REPRESENTATIVE'S SIGNATURE 8B. DATE (MM-DD-YYYY) 9A. COUNTY FSA OFFICE NAME AND ADDRESS (Including Zip Code) 9B. COUNTY FSA OFFICE TELEPHONE NUMBER (Including Area Code) NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a). The authority for requesting the above information is the Farm Security and Rural Investment Act of 2002 (Pub. L. 107-171). The information requested is necessary for CCC to confirm producer notification of Milk Income Loss Contract modifications made in accordance with prevailing regulations provided at 7 CFR Part 1430. Furnishing the requested information is voluntary. Failure to furnish a signed addendum will result in a determination of ineligibility for further MILC program benefits and other financial assistance administered by USDA. This information may be provided to other agencies, IRS, Department of Justice, or other State and Federal Law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 USC 286, 287, 371, 641, 651, 1001; 15 USC 714m; and 31 USC 3729, may be applicable to the information provided. RETURN THIS SIGNED FORM TO YOUR COUNTY FSA SERVICE CENTER.